Individual Pledge Card | United Way of Lee County

Your Name

Title

First

Middle

Last

Suffix

Your Contact Information

Name

Company (if applicable)

Phone

Address

City

State

ZIP Code

Donation Method

Preferred Donation Method

Check

Cash

Check Donation

Amount of Check $

Make checks payable to the United Way of Lee County. Please deliver or mail the check to the United Way of Lee County office within 24 hours of this pledge.

Cash Donation

Amount of Cash $

Please deliver or mail cash to the United Way of Lee County office within 24 hours of this pledge.

Bill Me Details

Frequency of Invoice

One Time

Quarterly

Monthly

Amount of EACH direct bill $

Total Annual Contribution

TOTAL: $0

Donation Details

I would like to give my donation to a specific United Way Agency

	Select Agency
	2-1-1 Community Connections
	Alabama Head Injury Foundation
	American Red Cross of Central East Alabam
	Child Advocacy Center
	Community Market
	Court Appointed Special Advocates of Lee County
	Dolly Parton's Imagination Library
	Domestic Violence Intervention Center
	East Alabama Services for the Elderly (EASE)
	Easterseals Achievement Center
	Food Bank of East Alabama
	Joyland
	Keeping Family Connections
	Lee County Literacy Coalition
	Project Uplift
	Special Deliveries of East Alabama Mental Health
	Tallapoosa County Sheriff's Girls Ranch
	United Way Student Health Fund
	United Way Community Fund
	Unity Wellness Center

If applicable

I wish to remain anonymous

Agreement

My signature below, confirms my pledge as stated above.

Signature

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